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DR. DAVID JUDY D.O. NPI 1619144433


NPI Information

NPI: 1619144433
Provider Name: DR. DAVID JUDY, D.O.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
4610 KANAWHA AVE SW
SUITE 302
CHARLESTON, WV
ZIP 25309
Phone: (304) 925-7546
Get Directions

DR. David Judy, D.O. is a mohs-micrographic surgery dermatology in Charleston, WV with 19 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. David Judy, D.O. NPI is 1619144433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2005

The provider's business location address is:

4610 KANAWHA AVE SW
SUITE 302
CHARLESTON, WV
ZIP 25309-320
Phone: (304) 925-7546
Fax: (681) 205-8369

The NPI 1619144433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) (HCPCS:17313)
  • Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs (HCPCS:13121)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Destruction of skin growth (HCPCS:17000)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 5/12/2008 and was last updated on 10/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology2007-00740NORTH CAROLINANo
2207N00000XDermatologyOS 11120FLORIDANo
3207N00000XDermatology2596WEST VIRGINIANo
4207ND0101XDermatologyMOHS-Micrographic Surgery2596WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11619144433OTHERWEST VIRGINIAHEALTHNET/TRICARE
21619144433OTHERWEST VIRGINIAUNITED HEALTHCARE
32707397OTHERWEST VIRGINIAHIGHMARK BCBS
45679351OTHERWEST VIRGINIACIGNA
51619144433OTHERWEST VIRGINIAUMWA HEALTH PLAN OF WV
61619144433OTHERWEST VIRGINIAHEALTHSMART PEIA
73810023193MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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